Organization
NATIONAL ORTHODONTIC AND PEDIATRIC DENTISTRY ASSOCIATES CORP
Active
Other names
Fort davis orthodontic and pediatric dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK LAROSILIERE DDS (OWNER)
(301) 367-8051
Entity
Organization
Contact information
Practice address
3863 ALABAMA AVE SE, WASHINGTON, DC 20020-1001
(301) 367-8051
Mailing address
6200 GOLD YARROW LN, UPPER MARLBORO, MD 20772-4010
(301) 367-8051
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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